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Consequences of Needle-Related Medical Procedures: A Hermeneutic Study With Young Children (3-7 Years)

Katarina Karlsson1, Ingela Rydström2, Maria Nyström2

  • 1Faculty of Caring Sciences, Work Life and Social Welfare, University of Borås, Borås, Sweden; Department of Nursing Sciences, CHILD Research Group, School of Health Sciences, Jönköping University, Gjuterigatan 5, Jönköping, Sweden.

Journal of Pediatric Nursing
|November 26, 2015
PubMed

Insights

Younger children experience fear during needle-related medical procedures (NRMPs), impacting their sense of security and control. Understanding these experiences is crucial for improving pediatric care during NRMPs.

Area of Science:

  • Pediatric nursing
  • Child psychology
  • Medical sociology

Background:

  • Needle-related medical procedures (NRMPs) induce significant fear, anxiety, and pain in children.
  • Limited research exists on younger children's perspectives during NRMPs.
  • Further understanding of children's experiences in healthcare settings is needed.

Purpose of the Study:

  • To explore and comprehend the consequences of NRMPs from the viewpoint of younger children.
  • To gain insight into the lived experiences of children undergoing medical procedures involving needles.

Main Methods:

  • Qualitative study employing participant observation and interviews with young children.
  • Analysis utilized a lifeworld hermeneutic approach to interpret experiences.

Main Results:

  • Fear is a central emotion for younger children during NRMPs.
  • Key themes identified include seeking security, recognizing adult authority, struggling for control, shame, and surrender.
  • Children's experiences of NRMPs influence their feelings of fear over time and across different contexts.

Conclusions:

  • Adult power dynamics are heightened and more apparent to children during NRMPs.
  • Children's surrender during procedures does not equate to acceptance.
  • Empowering children with control over procedural elements fosters active participation and can mitigate negative experiences.
Abstract

Keywords:
Caring scienceConsequencesLifeworld hermeneuticLived experiencesNeedle-related medical proceduresReflective lifeworld researchYounger children

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